Paeds

Question 1

What is HSP?
Classic symptoms

Answer 1

Immunoglobulin A vasculitis
A generalised vasculitis of skin, GI tract, joint and kidneys

Affects glomerulus of kidneys - elevated creat, haematuria, proteinuria, and nephritis 20%

Palpable pupura: low plts
Colicky abdominal pain : interception, heme positive stool
Peri articular disease of knees and ankles

Question 2

Complications of HSP

Answer 2

Nephropathy end stage renal disease
Intussception

Question 3

What do muddy brown cast do urinalysis suggest

Answer 3

Acute tubular necrosis

Question 4

What are 3 indications for bronchoscopy in children

Answer 4

1. History of choking
2. Unilateral wheeze
3. x ray shows hyperinflation on expiration

Question 5

In complete upper airway obstruction management

Answer 5

Back thrust
Chest compressions
Attempted bvm
Direct largoscopy for visualisation to remove
ETT passed to advance beyond obstruction

Question 6

Pyloric stenosis age of onset
Symptoms

Answer 6

2-8 weeks of life
Projectile vomitint post feed, early satiety
RUQ olive like mass

Question 7

Pyloric stenosis VBG

Answer 7

Hypocholaremic hypokalaemic metabolic acidosis

Question 8

Pyloric stenosis USS

Answer 8

Thickened >3mm
Elongated >12mm

Question 9

Most common cause of bronchiolitis

Answer 9

RSV